| NPI | 1528228988 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: PA MT192408) | 
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME111999) | 
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: AL MD.32033) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: GA 69039) | |
| Enumeration Date | 2008-06-10 | 
| Last Update Date | 2024-04-11 |